ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY TELEPHONE NO.: ATTORNEY FOR (NAME): FAX NO: (Optional) AMADOR COUNTY SUPERIOR COURT 500 ARGONAUT LANE JACKSON, CA 95642 (209) 257-2600 PETITIONER: ADOPTION CITATION TO DECLARE MINOR FREE FROM PARENTAL CUSTODY AND CONTROL OF PARENT FOR STEPPARENT ADOPTION CASE NUMBER: To: (name) __________________________________________ (Parent whose rights may be terminated) By order of the court, you are hereby advised that you are requested to appear before the judge presiding in Department _______ of this court on ____________________(date) at _______ a.m. p.m. to show cause, if any you have, why ____________________________________Child's name, a minor, should not be declared free from custody and control of his/her parent ______________________________________. Rob Klotz, Clerk of the Superior Court Date: __________________ by, _____________________________deputy Approved for Optional Use New 3/10/17 ADOPTION CITATION TO DECLARE MINOR FREE FROM PARENTAL WWW.AMADORCOURT.ORG CUSTODY AND CONTROL OF PARENT FOR STEPPARENT ADOPTION FCA-202 American LegalNet, Inc. www.FormsWorkFlow.com